CMS Price Transparency Data

Total hip replacement

Facility: Parkview Medical Center, Inc

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $14,213
Cash Discount Price: $12,867
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Parkview Medical Center, Inc is $14,213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,867. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.08x the Medicare baseline. Located in 400 W 16Th St, Pueblo, CO.

Cash / Self-Pay

$12,867

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,213

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $12,867 (98%)

Insurance Median: $14,213 (108%)

Cash: $12,867 (98% of Medicare)

Ins. Median: $14,213 (108% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$8,190 - $16,710	62%
Simplified Benefits Administration	$8,363 - $8,685	64%
Aetna	$10,615 - $14,832	81%
Cms	$12,931	99%
Humana	$12,931	99%
Kaiser	$12,931 - $17,753	99%
Select Health	$12,931 - $28,448	99%
UnitedHealthcare	$12,931 - $17,798	99%
Cigna	$14,224 - $57,330	108%
Denver Health Medical Plan	$16,084	123%
Multiplan/Phcs	$19,622	150%
Rocky Mountain Health Plans	$21,230	162%
First Health	$22,195	169%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $12,867.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkview Medical Center, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.